Organization
GRANDE PT SPORTS MEDICINE & WELLNESS P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL LOPEZ PT (CEO)
(956) 970-2819
Entity
Organization
Contact information
Practice address
4925 ALEXA RD, BROWNSVILLE, TX 78521-1486
(956) 970-2819
Mailing address
4925 ALEXA RD, BROWNSVILLE, TX 78521-1486
(956) 970-2819
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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